Medicare Benefits : What does Medicare pay for? : What doesn’t it pay for?



When enrolling for Medicare benefits, you will need to decide which plan is right for you. Health care decisions are very important and often confusing. It is important to know which plan covers what and if your medical needs will be met. Some plans are free for most, while others require a monthly premium.

Medicare Part A – Hospital Insurance

Part A covers inpatient care in hospitals, skilled nursing facilities, long term care hospitals, inpatient rehabilitation facilities, home health care, hospice care, and even inpatient mental health or psychiatric care. In some cases, it will cover nursing home costs. It does not cover private duty nursing, custodial care, or assisted living.

Medicare Part B – Medical Insurance

Part B covers your doctors visits, outpatient care, x-rays, diagnostic testing, dialysis, chemotherapy and limited ambulance transportation as well as other services not covered by Part A. It also covers medical equipment, such as canes, walkers, wheelchairs and oxygen. Services not covered include cosmetic surgery, dental care and dentures, hearing aids, and routine yearly physical exams.

Medicare Part C – Medicare Advantage Plans

Part C is all your Medicare benefits under one plan. These plans are run my government approved private companies. With a Medicare Advantage plan, you can also get other services not covered my parts A and B such as hearing, dental, and vision.

Medicare Part D – Prescription Drug Plans

Anyone with Part A or Part B Medicare, is eligible for Part D. It covers the cost of medications prescribed by your doctor. If you enrolled in a Medicare Advantage Plan, then the prescription plan may not be necessary as most of those have prescription drug coverage.

Because Medicare is in fact a health insurance policy, it does come with copays and deductibles. Medigap is a supplement insurance program to help cover these costs. This service is available to those enrolled in Part A and Part B Medicare and also requires a monthly premium.

When choosing what plan is best for you, consider your personal needs and whether or not each plan is affordable. With Medicare benefits, you and your family can rest easily without worrying about those large medical bills.




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